How word choice can transform mental health conversations

Published Sep 4, 2024

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The words we choose can have a profound impact on how we perceive the world and how others see us. This is especially true when it comes to discussing mental health conditions.

The language we use, whether in casual conversation or a professional setting, has the power to either provide support and understanding or perpetuate harmful stigmas.

As a society, we are becoming more aware of the importance of using compassionate, person-first language when discussing mental health.

Gone are the days of referring to someone as “bipolar” or “schizophrenic” – the terms reduce a person to their diagnosis and can make them feel defined by their condition.

Instead, we know to say things like “a person living with schizophrenia” or “someone experiencing depression”.

Infographic of the right language to use when discussing mental health. Picture: National Alliance on Mental Health

The way we communicate about mental health matters can determine whether someone feels comfortable seeking help or feels ashamed and isolated. Our words have the ability to uplift and empower or further marginalise and discourage.

In recent years, mental health advocacy has gained momentum, but the stigma around mental health conditions persists.

The National Alliance on Mental Health (Nami) says a few simple changes in the way we communicate can make a big difference in supporting those living with mental health conditions.

Over the past decade, there have been significant advancements in how mental health is managed and treated in South Africa.

Whereas mental health issues were once heavily stigmatised and often went undiagnosed, recent studies have shown a growing awareness and acceptance of the importance of mental well-being.

Treatments that were once limited are more widely available, including counselling, therapy and medication.

For example, a recent national survey of university students found that more than 35% of those with mental health problems were able to access some form of treatment, compared to just 21% in the past.

The South African Depression and Anxiety Group says 30% of South Africans will probably suffer from a mental illness in their lifetimes, depression being the most common ailment.

A recent study found that 44.1% of youth (aged 14 to 24 years) experienced depression and 40.2% anxiety. One in four youth reported current suicidal thoughts.

Barriers remain, particularly for those from disadvantaged backgrounds, highlighting the need for continued investment in accessible and affordable mental health care across the country.

Overall, the progress made in mental health management represents an important step forward in supporting the well-being of all South Africans.

One of the key shifts recommended by Nami is to be more kind and accepting of the things we say. Words have power, and the way we talk about mental health can either reinforce stigma or help break it down.

For instance, instead of defining people by their mental health conditions, we can choose language that respects their humanity.

Let’s stop defining people by their conditions.

When talking about mental health, it’s important to remember that people are more than their diagnoses. Here’s how we can make the change:

Say this: She lives with bipolar disorder; he lives with schizophrenia; my friend lives with obsessive-compulsive disorder.

Not this: She’s bipolar; he’s a schizophrenic; my OCD friend.

Nami highlighted the importance of not minimising the experiences of those affected by mental health conditions. Whether a friend, family member or colleague, acknowledging their struggles and offering support can make a world of difference.

In the end, the way we talk about mental health matters. By making the small adjustments in our language, we can help create a more supportive environment for everyone.

It’s about recognising that mental health conditions are just one part of a person’s life, not their entire identity. By being mindful of our words, we can contribute to ending the stigma and fostering a more inclusive and understanding society.